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Customer Application Inquiry Form

*Name   Position
*Company 
Address 
City  State  Zip 
*Phone  *Country 
*E-Mail 
  *Required Fields

Has your company purchased from Capacitec in the past? Yes No

How did you first hear of us? 

What are the primary products manufactured at your location?


Type of Measurement (select appropriate):

Displacement Gap Thickness Density  
 Displacement
 Gap
Bore
 Thickness
 Other

Describe your application, providing specific dimensions.
Email sketches, photos, prints or CAD drawings in STEP or IGES if possible to sales@capacitec.com.

Target Shapes (select all that apply):

Flat Slot Inclusions
Radius/Diameter Hole Imperfection
Edge Protrusion  

For Radius/Diameter please supply dimension


Target Material

Can target be grounded to instrumentation? Yes No

Please advise if there is anything between the target and the sensor besides air (e.g. oil/water/gas):

Range (max):
Accuracy Required:
Frequency Required:
 Hz
Probe Length (max):
Probe Diameter (max):
Probe Thickness (max) for gap:
Cable Length (max):
Temperature (max):

 

Describe any other requirements or environmental factors:
(magnetic field, radiation, pressure, vacuum etc.)

What technology are you using or considering using today for this application?

How many systems do you require short term? Longer term?

What is your timing?

Do you have a budget for this system?   Approximate amount?



Enter the code above to validate your submission

 

Thank you very much for your information! We will evaluate this material and respond shortly.
Print this form for your own records.